What Can Help A 3 Month Old Baby With Constipation Treatment For Proctalgia Fugax – The Pain In The Butt

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Treatment For Proctalgia Fugax – The Pain In The Butt

At least 16-18 percent of the general population experiences some type of severe, episodic pain in the rectal or anal region at least once in their lifetime. Of them, at least 40 percent of patients need treatment for the same due to its recurrence, which can be one of the most annoying diseases. No pun intended, but it really is a pain in the ass! Fortunately, homeopathic remedies can effectively treat proctalgia fugax, as it is medically called, providing complete relief from the excruciating pain.

It most often appears in the middle of the night or if you hold back your urge to pass out for some reason. Lasting for a few seconds to minutes, it manifests itself as a terrible pain, when the patient feels spasmodic pain in the anal region, associated with the need to pass movements. The painful attack subsides by itself after some time. Nothing can stop the pain episode once it starts.

There were many triggering factors reported – including stress, constipation, sexual activity and menstruation. Although in many patients there may not be any triggering factor at all.

It is thought to occur due to the severe stinging like pain or sudden spasm of the anal sphincter. There are no diagnostic tests and the final diagnosis is usually made on the clinical picture itself. Most of the patients suffering with proctalgia fugax also show signs of irritable bowel syndrome. Both of these disorders are often found in people who have an anxious nucleus.

The treatment includes the use of warm stimulation or warm enemas, relaxation techniques or a trial of botulinum toxin in advanced cases. Low doses of diazepam at bedtime have been tried as a preventative. Inhaled salbutamol has also been shown to reduce the duration of the attack. A diet rich in fiber content and drinking plenty of fluids has been recommended for such patients.

Homeopathic approach:

A constitutional approach choosing the most appropriate homeopathic remedy based on the psycho-somatic make-up of the patient works best to resolve the recurrence of the pain. In case of acute episodes, remedies with spasmodic manifestations such as colocynth, cuprum met, mag phos or plumbum met can be tried in medium to high potency, but in not so frequent repetitions.

Case experience:

Nitesh, a trader by profession, consulted me at Swaroop Clinic for a recurring pattern of getting excruciating pain in the anal region. The frequency used to increase during stressful situations. Any kind of anger or frustration always triggered his symptoms. He used to relieve the pain by pressing hard on the affected area. Based on the symptoms, he was given Colocynth 200 with a thrice daily schedule followed by constitutional therapy. His episodes stopped completely within four months.

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